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Organization
PACIFIC MEDICAL GROUP
Active
Organization
PACIFIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN L LEWIS MD (PHYSICIAN/OWNER)
(626) 796-8181
Entity
Organization
Contact information
Practice address
48 N EL MOLINO AVE, SUITE 201, PASADENA, CA 91101-1861
(626) 796-8181
(626) 796-1874
Mailing address
48 N EL MOLINO AVE, SUITE 201, PASADENA, CA 91101-1861
(626) 796-8181
(626) 796-1874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G40994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057870
—
CA
Enumeration date
04/28/2008
Last updated
11/02/2010
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